Kizhaev Yurij Evgenevich (RU),Кижаев Юрий Евгеньевич (RU),Perfileva Oksana Mikhajlovna (RU),Перфильева Оксана Михайловна (RU),Kizhaev Evgenij Vasilevich (RU),Кижаев Евгений Васильевич (RU)
申请号：
RU2019103395
公开号：
RU0002710219C1
申请日:
2019.02.07
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to medical radiotherapy. After the gynecological examination and transvaginal ultrasound examination of the pelvic organs, the risk factors of the iatrogenic uterine injury are identified. Main risk factors are flexion angle and thickness of uterine wall. Additional risk factors: smoothed uterine cervix, uterine cavity deformation, intrauterine uterine atresia. Results of which determine a degree of uterine perforation risk. In case of simultaneous combination of hyperflexion and thin wall, high risk of uterine perforation is diagnosed regardless of presence or absence of additional risk factors. If normal flexion is combined with normal wall thickness in the absence of additional risk factors, a low risk of uterine perforation is diagnosed. If combined normal flexion, normal wall thickness and additional risk factor diagnosed moderate risk of uterine perforation. In case of combination of hyperflexion and normal thickness of uterine wall or normal flexion and thin wall of uterus in the absence of additional risk factors, moderate risk of uterine perforation is considered, and if present - high risk of uterine perforation.EFFECT: method enables high-accuracy determination of flexion angle and uterine wall thickness, which together with additional parameters enables to determine a degree of uterine perforation risk, individually select and establish a central endostat with a minimum risk of iatrogenic injuries； method provides more effective implementation of intracavage gamma-therapy plans.1 cl, 5 dwg, 2 exИзобретение относится к медицине, а именно к медицинской радиотерапии. После проведения гинекологического осмотра и трансвагинального ультразвукового исследования органов малого таза выявляют факторы риска ятрогенного повреждения матки. Основные факторы риска: угол флексии, толщина стенки матки. Дополнительные факторы риска: сглаженная шейка матки, деформация полости матки, атрезия внутреннего зева ма
